MEDICARE: DR. ALBERT YEE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	031816	NY

General Provider Information

NPI Number	:	1730326836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT YEE DMD

Provider Business Mailing Address
First Line	:	130 E 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2416
Country	:	US
Telephone Number	:	212-254-5454
Fax Number	:	212-614-3223

Provider Business Practice Location Address
First Line	:	130 E 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2416
Country	:	US
Telephone Number	:	212-254-5454
Fax Number	:	212-614-3223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2009
Last Update Date	:	01/11/2009

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